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This is a combination chemotherapy regimen consisting of four anticancer drugs: fluorouracil (5-FU), methotrexate, thiotepa, and vinblastine. The combination has been used in the treatment of advanced breast cancer, particularly for patients who have failed prior systemic therapy. Each component has a different mechanism of action: fluorouracil is an antimetabolite that interferes with DNA and RNA synthesis, methotrexate inhibits dihydrofolate reductase, thiotepa is an alkylating agent, and vinblastine is a vinca alkaloid that disrupts microtubule formation.
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